Individual
JOSEPH J JARES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
42460
WI
2084N0400X
Neurology Physician
MD60578578
WA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
42460
WI
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
MD60578578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34005500
—
WI
Enumeration date
10/19/2005
Last updated
08/02/2023
Update your record
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